Evidence map›Paper›PMID 31050713›Full record

ArticleAnnals of oncology : official journal of the European Society for Medical Oncology2019

Germline-focussed analysis of tumour-only sequencing: recommendations from the ESMO Precision Medicine Working Group.

D Mandelker, M Donoghue, S Talukdar, C Bandlamudi, P Srinivasan, M Vivek, S Jezdic, H Hanson, K Snape, A Kulkarni and 12 more

Erratum issuedAbstract read
In one paragraph

Article in Annals of oncology : official journal of the European Society for Medical Oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 117 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

117 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Guideline
  2. Guideline
  3. SEOM clinical guideline on heritable TP53-related cancer syndrome (2022).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
    Guideline
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Long-read sequencing bridges germline and somatic variant detection: a multi-modal approach for hereditary cancer diagnostics.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  9. Article
  10. Article
  11. Review
  12. [Genetic diagnostics].Pathologie (Heidelberg, Germany) · 2026
    Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Observational
  18. Article
  19. Advances in laboratory medicine · 2025
    Article
  20. Review

57 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors.

D MandelkerDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York. Electronic address: mandelkd@mskcc.org.
M DonoghueMarie-Josee and Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York.
S TalukdarDepartment of Clinical Genetics, St George's University of London, London.
C BandlamudiMarie-Josee and Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York.
P SrinivasanMarie-Josee and Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York.
M VivekHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, USA; Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, USA.
S JezdicEuropean Society for Medical Oncology (ESMO) Head Office, Lugano, Switzerland.
H HansonDepartment of Clinical Genetics, St George's University of London, London.
K SnapeDepartment of Clinical Genetics, St George's University of London, London.
A KulkarniDepartment of Clinical Genetics, Guy and St Thomas' NHS Foundation Trust, London.
L HawkesDepartment of Clinical Genetics, Oxford University Hospitals NHS Foundation Trust, Oxford.
J-Y DouillardEuropean Society for Medical Oncology (ESMO) Head Office, Lugano, Switzerland.
S E WallaceDepartment of Health Sciences, University of Leicester, Leicester, UK.
E Rial-SebbagUniversity of Toulouse, Toulouse, France.
F Meric-BersntamDepartment of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, USA.
A GeorgeCancer Genetics Unit, The Royal Marsden NHS Foundation Trust, London; Division of Genetics and Epidemiology, Institute of Cancer Research, London.
D ChubbDivision of Genetics and Epidemiology, Institute of Cancer Research, London.
C LovedayDivision of Genetics and Epidemiology, Institute of Cancer Research, London.
M LadanyiDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York; Human Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, USA.
M F BergerDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York; Marie-Josee and Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York.
B S TaylorMarie-Josee and Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York; Department of Clinical Genetics, St George's University of London, London; Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, USA.
C TurnbullDepartment of Clinical Genetics, Guy and St Thomas' NHS Foundation Trust, London; Division of Genetics and Epidemiology, Institute of Cancer Research, London; William Harvey Research Institute, Queen Mary University of London, London; Public Health England, London, UK. Electronic address: clare.turnbull@icr.ac.uk.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Elisa de Stanchina · 1985 to 2026
$347.4M
(PQ3) Integrative biomarkers of cancer progression and therapeutic response from germline and somatic clinical sequencingR01CA227534 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI BERGER, MICHAEL F. · 2019 to 2023
$3.5M
Understanding Long Tail Driver Mutations in CancerR01CA204749 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI SCHULTZ, NIKOLAUS · 2017 to 2021
$2.0M
MSK Computational Biology Summer ProgramR25CA233208 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Michael F. Berger, Yaihara Myriam Fortis-Santiago · 2019 to 2026
$1.8M
Cancer Research UK 27223Cancer Research UK C61296/A26688NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA204749NCI NIH HHS R01 CA227534NCI NIH HHS R25 CA233208
6 · The paper itself

Abstract

It is increasingly common in oncology practice to perform tumour sequencing using large cancer panels. For pathogenic sequence variants in cancer susceptibility genes identified on tumour-only sequencing, it is often unclear whether they are of somatic or constitutional (germline) origin. There is wide-spread disparity regarding both the extent to which systematic 'germline-focussed analysis' is carried out upon tumour sequencing data and for which variants follow-up analysis of a germline sample is carried out. Here we present analyses of paired sequencing data from 17 152 cancer samples, in which 1494 pathogenic sequence variants were identified across 65 cancer susceptibility genes. From these analyses, the European Society of Medical Oncology Precision Medicine Working Group Germline Subgroup has generated (i) recommendations regarding germline-focussed analyses of tumour-only sequencing data, (ii) indications for germline follow-up testing and (iii) guidance on patient information-giving and consent.

Indexed as

Biomarkers, TumorDNA Mutational AnalysisEuropean UnionGenetic Predisposition to DiseaseGenetic TestingGerm-Line MutationHigh-Throughput Nucleotide SequencingHumansInformed ConsentMedical OncologyNeoplasmsPractice Guidelines as TopicPrecision MedicineSocieties, MedicalBiomarkers, Tumorgenegermlinepanelpredispositionsequencingsusceptibility

Identifiers

PMID31050713
PMCPMC6683854

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.